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174   Safety Risk Management for Medical Devices


                   In the semiquantitative method, the comparison with the state-of-the-art is easier
                than in the qualitative method, but still equivocal.

                19.4 RISK EVALUATION FOR QUANTITATIVE METHOD

                The BXM method uses quantitative methods for risk estimation and evaluation. In
                the quantitative method as in the other methods, where possible, use compliance with
                applicable international or national product safety standards as indications of
                risk acceptance. Where applicable standards are not available, compare to the state-of-
                the-art, or refer to benefit risk analyses.
                   In the quantitative method, comparison with the state-of-the-art is relatively
                straight forward. Compute the residual risk for a Hazard, a Hazardous Situation, or
                overall in the five severity classes of Catastrophic, Critical, Serious, Minor, and
                Negligible. See Section 17.3 for a detailed explanation on how to compute risk. If
                the computed residual risk for any severity class is larger than the acceptable risk limits
                that are spelled out in the RMP, then the risk is not acceptable. Otherwise, the risk is
                acceptable.
                   Just because a risk computes to be unacceptable, it doesn’t mean the medical
                device cannot be released to the market. If benefit risk analysis shows that the
                benefits of the device outweigh its risks, it may still be possible to get regulatory
                approval for the medical device.
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